NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
The nurse is completing a neurovascular assessment on the client with chronic venous insufficiency. What should be included in this assessment? Select all that apply.
Correct Answer: A,B
Rationale: Paresthesia (
A) and pedal pulses (
B) assess neurovascular status in venous insufficiency. Paralysis (
C) and pallor (
D) are arterial, and polar/temperature (E) is assessed but not primary.
Question 2 of 5
The client diagnosed with a deep vein thrombosis is prescribed heparin via continuous infusion. The client's laboratory data are: PT 12.2 aPTT 48 Control 1.4 Control 32 INR 1 Based on the laboratory results, which intervention should the nurse implement?
Correct Answer: D
Rationale: aPTT 48 (therapeutic 1.5–2× control 32 = 48–64) is within range; continue heparin as ordered (
D). Subcutaneous (
A) is inappropriate, vitamin K (
B) reverses heparin, and diet (
C) is for warfarin.
Question 3 of 5
The client prescribed rivaroxaban (Xarelto), an anticoagulant, is complaining of dark, tarry stool. Which should the nurse implement first?
Correct Answer: A
Rationale: Dark, tarry stool suggests GI bleeding; notifying HCP (
A) is first for urgent evaluation. Stool sample (
B), last dose (
C), and bleeding assessment (
D) follow.
Question 4 of 5
Which complication of anticoagulant therapy should the nurse teach the client to report to the health-care provider?
Correct Answer: B
Rationale: Bleeding (
B) is a serious anticoagulant complication, requiring HCP notification. Gastric upset (
A) and constipation (
C) are minor, and MI (
D) is unrelated.
Question 5 of 5
The client on the telemetry unit diagnosed with a thromboembolism is complaining of chest pain and anxiety. Which action should the nurse implement first?
Correct Answer: A
Rationale: Chest pain/anxiety in thromboembolism suggests pulmonary embolism; calling RRT (
A) ensures rapid intervention. Vitals (
B), UAP (
C), and telemetry (
D) follow.